Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

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1 United Nations DP/FPA/DCP/BRA/5 Executive Board of the United Nations Development Programme, the United Nations Population Fund the United Nations Office for Project Services Distr.: General 11 July 2011 Original: English Second regular session to 9 September 2011, New York Item 7 of the provisional agenda UNFPA Country programmes related matters UNITED NATIONS POPULATION FUND Draft country programme document for Brazil Proposed indicative UNFPA assistance: $13.5 million: $4 million resources $9.5 million through co-financing modalities /or other, including regular, resources Programme period: Four years ( ) Cycle of assistance: Category per decision 2007/42: Fifth B Proposed indicative assistance by core programme other areas (in millions of $): Regular resources Other Total Reproductive health rights Population development South-South cooperation Programme coordination assistance Total

2 I. Situation analysis 1. Brazil, the world s fifth most populous country, has a population of about 191 million. In 2010, nearly 84.4 per cent of the population lived in urban areas. 2. Brazil is an emerging economy. It is making progress in reducing poverty income inequality, which are often associated with race gender. These disparities are most apparent in the northeast north regions, along the periphery of large urban centres. Indigenous people, women, youth Brazilians of African descent are particularly affected. 3. Although Brazil experienced financial crises in the 1980s 1990s, the gross domestic product has grown at a faster pace during the last decade. In 2009, for the first time, the country recorded a reduction in the levels of inequality. However, the Gini coefficient (used as a measure of inequality of income or wealth) is 0.543, indicating that Brazil still exhibits significant inequality in its society. 4. Poverty has been declining consistently since 1994, dropping from almost 35 per cent in 2003 to below 21.4 per cent in Brazil has made impressive gains in bridging social economic gaps. Nevertheless, in 2009, 39.6 million people had a per capita income that was below the poverty line. The persistence of poverty inequality continues to be an obstacle to sustainable development. 5. Between , the maternal mortality ratio declined from 140 maternal deaths per 100,000 live births to 58 maternal deaths per 100,000 live births. Total fertility has also fallen below replacement levels. However, adolescent pregnancy remains high, accounting for 20 per cent of births in Full access to high-quality sexual reproductive health services is required to reduce unwanted pregnancies, especially among young, poor, black indigenous women. 6. Brazil has approximately 630,000 people living with HIV. The epidemic is concentrated among men in high-risk groups, intravenous drug users female sex workers. Only 50 per cent of pregnant women with HIV receive antiretroviral treatment to reduce the risk of mother-to-child transmission. One third of all new cases diagnosed between occurred among people in the advanced stages of infection, indicating a need to exp counselling testing services for early diagnosis. 7. Current demographic socio-economic trends, including slower population growth a reduced dependency ratio, offer an opportunity to reduce poverty inequality. To take advantage of this opportunity, the Government needs to: (a) implement policies to exp educational productive opportunities for youth; (b) reduce the high number of deaths among young males due to external causes, especially violence; (c) adapt health services social security to an increasing ageing population; (d) address challenges related to urbanization climate change. 8. Brazil has experience in implementing policies programmes to reduce poverty, promote sustainable development achieve the objectives of the Programme of Action of the International Conference on Population Development (ICPD). This experience supports government efforts to build the capacity of partner countries through South-South cooperation. It has also strengthened the capacity of Brazilian institutions to achieve results domestically as well as in partner countries. II. Past cooperation lessons learned 9. UNFPA assistance to Brazil began in The UNFPA country programme, , 2

3 focused on: (a) improving access to highquality, comprehensive, gender-sensitive sexual reproductive health services, including by youth adolescents; (b) establishing linkages between population, poverty, social religious inequalities the environment, to promote the incorporation of such linkages into national local policies, plans programmes; (c) strengthening institutional capacity to engage in South-South cooperation in the areas of population development, reproductive health rights, gender equality. 10. Achievements in the area of reproductive health include: (a) the development of sexual reproductive health policies for women, youth, people with disabilities people living with HIV/AIDS; (b) strengthened capacity of civil society to advocate reproductive rights, improve the quality of services, monitor public policies; (c) the development of initiatives at federal local levels to reduce maternal mortality; (d) the integration of gender race perspectives in public policies; (e) the adoption of the national policy on men s health. 11. Achievements in the area of population development include: (a) the design of a national policy to address the trafficking sexual exploitation of youth; (b) increased better-qualified human resources to analyse population data; (c) the articulation of strategic thinking on emerging issues related to population development. 12. Additional achievements in the area of population development include: (a) promoting exchanges between the demographic community the Government in relation to poverty-reduction strategies; (b) preparing population projections for Brazil large regions for the period In the area of South-South cooperation, UNFPA supported collaboration among countries in the areas of demographic analysis, youth-friendly reproductive health services, gender issues, including gender-based violence, men s health. This cooperation benefited approximately 30 countries in three regions. 14. Lessons learned include: (a) the need for implementing partners to adopt the resultsbased management framework; (b) the need to integrate the sexual reproductive health agenda the population development agenda; (c) the need to strengthen partnerships to enhance capacity; (d) the need to strengthen the capacity of Brazilian institutions to provide South-South cooperation; (e) recognition of the contribution of the Brazil country programme its partners in advancing the Programme of Action of the ICPD. 15. Resource mobilization efforts were effective during the programme cycle. The country programme for this period had a budget of $4 million resources $9.5 million from other resources. Resource-mobilization efforts raised $10.5 million. III. Proposed programme 16. The proposed programme is aligned with national priorities is based on the United Nations Development Assistance Framework (UNDAF), the ICPD Programme of Action, the Millennium Development Goals the UNFPA strategic plan, UNFPA the Government formulated the programme in consultation with partners, drawing from lessons learned from the previous programme. Reproductive health rights component 17. The reproductive health rights component will contribute to the UNDAF outcomes that support the achievement of the Millennium Development Goals. The outcome of this component is: access to high-quality sexual reproductive health services, including HIV prevention, is increased, particularly for populations in vulnerable 3

4 situations. The following two outputs will contribute to this outcome. 18. Output 1: Increased national capacity to provide high-quality sexual reproductive health services, focusing on populations in vulnerable situations. This output will be achieved by: (a) supporting the development adoption of protocols on the quality of sexual reproductive health services to ensure gender, race age equity; (b) supporting civil society initiatives to promote protect sexual reproductive health reproductive rights; (c) working with the Government civil society to promote gender equality, healthy lifestyles responsible sexual behaviour, to prevent violence. 19. Output 2: Strengthened capacity of national institutions civil society to implement HIV-prevention programmes for populations in vulnerable situations in preselected areas. This will be achieved by: (a) supporting capacity development to ensure that target populations have access to HIVprevention services; (b) supporting gendersensitive, life-skills initiatives advocacy training for youth peer educators; (c) supporting initiatives on the sexual reproductive health reproductive rights of vulnerable groups that are at the highest risk of HIV infection. Population development component 20. This component will contribute to national priorities the UNDAF outcome that seeks to ensure equity, inclusion sustainable development. The outcome of this component is: population dynamics, including emerging issues the rights of young people, are incorporated in national local policies, plans programmes that seek to foster sustainable development reduce inequality. Three outputs contribute to this outcome. 21. Output 1: National local institutions have increased capacity to produce, analyse incorporate disaggregated population data indicators in policies, plans programmes. This output will be achieved by: (a) supporting the analysis dissemination of the 2010 population housing census; (b) supporting the development of methodologies to improve indicators for local planning; (c) improving local capacity to use disaggregated data for planning; (d) supporting institutions networks in monitoring evaluating policies, plans programmes. 22. Output 2: Youth institutions have strengthened capacity to ensure the incorporation of the rights needs of youth in public policies. This output will be achieved by: (a) supporting national institutions to incorporate the rights needs of youth in public policies; (b) supporting the formulation of the national youth policy. 23. Output 3: National local institutions have increased capacity to analyse use information data on emerging population issues in order to design, develop, implement monitor public policies. This output will be achieved by: (a) supporting fostering knowledge to better underst the population dimension of emerging issues; (b) generating disseminating evidence-based policy options scenarios. South-South cooperation component 24. This component contributes to the national priority the UNDAF outcome that relates to consolidating South-South cooperation mechanisms. The outcome of this component is: the national international capacity to sustain the achievements commitments of the ICPD is reinforced. Two outputs will contribute to achieving this outcome. 25. Output 1: National institutions have increased capacity to implement initiatives that seek to promote issues related to the ICPD 4

5 Programme of Action. This output will be achieved by: (a) building partnerships with institutions to develop skills for South-South triangular cooperation efforts, to design certification strategies to ensure the quality of cooperation initiatives; (b) developing mechanisms, systems the capacity of national institutions to formulate to engage in South-South triangular cooperation initiatives, especially those in support of UNFPA country programmes; (c) exping a national network of institutions with capacity for South-South triangular cooperation on issues related to the ICPD Programme of Action. 26. Output 2: South-South /or triangular initiatives, programmes projects between national institutions partner countries have incorporated ICPD issues. This output will be achieved by: (a) designing South-South triangular cooperation initiatives on population; (b) promoting South-South cooperation partnerships to enhance collaboration on population issues, with a focus on youth; (c) building South-South triangular cooperation tools for knowledge management for identifying documenting best practices. 28. UNFPA will pursue resource mobilization efforts with the Government, the private sector, bilateral other potential donors. 29. The UNFPA country office in Brazil consists of a representative, a deputy representative, two assistant representatives, an operations manager national programme support staff. UNFPA will maintain two sub-offices with other United Nations organizations in Bahia Rio de Janeiro. 30. The UNFPA regional office for Latin America the Caribbean, located in Panama City, Panama, will provide additional managerial programme support. III. Programme management, monitoring evaluation 27. The Government, through the Brazilian Agency for Cooperation in the Ministry of External Relations, will oversee programme implementation provide guidance in accordance with established UNFPA guidelines procedures, using results-based management accountability frameworks. UNFPA will design technical initiatives pertaining to South-South cooperation in coordination with with the approval of the Brazilian Agency for Cooperation. UNFPA will seek to align its monitoring evaluation efforts with the UNDAF in coordination with partner institutions. 5

6 6 DP/FPA/DCP/BRA/5 RESULTS AND RESOURCES FRAMEWORK FOR BRAZIL National priorities: (a) the achievement of the Millennium Development Goals to reduce racial, ethnic gender inequities, especially among vulnerable populations, by promoting a human rights approach; (b) South-South cooperation to promote a culture of cooperation among government institutions, consolidating South-South mechanisms by increasing knowledge sharing building the capacity of local partners UNDAF outcomes: (a) access to high-quality sexual reproductive health services, including HIV prevention, is increased, particularly for populations in vulnerable situations; (b) population dynamics, including emerging issues young people s rights, are incorporated into national local policies, plans programmes that seek to foster sustainable development reduce inequality; (c) national international capacity to sustain ICPD achievements commitments is reinforced Programme component Reproductive health rights Country programme outcomes, indicators, baselines targets Outcome: Access to highquality sexual reproductive health services, including HIV prevention, is increased, particularly for populations in vulnerable situations Outcome indicators: Maternal mortality ratio Baseline: maternal deaths per 100,000 live births for black women; Target: maternal deaths per 100,000 live births for black women Number of live births among mothers aged 19 years old or younger (in thouss) Baseline: 610,000 live births; Target: 488,000 live births Condom use during last sexual encounter among persons aged years Baseline: 32.5% (women), 44.2% (men); Target: 43% 56%, respectively Country programme outputs, indicators, baselines targets Partners Indicative resources by programme component Output 1: Increased national capacity to provide high-quality sexual reproductive health services, focusing on populations in vulnerable situations Output indicators: Number of health services that have adopted protocols on the quality of sexual reproductive health to ensure gender, race age equity in pre-selected programme areas Baseline: 0; Target: 8 Number of civil society initiatives supported to promote protect sexual reproductive health reproductive rights Baseline: 4; Target: 8 Output 2: Strengthened capacity of national institutions civil society to implement HIV-prevention programmes for populations in vulnerable situations in pre-selected areas Output indicators: Number of HIV-prevention initiatives for populations in vulnerable situations implemented by the Government with civil society participation Baseline: 0; Target: 15 Number of comprehensive sex education initiatives for youth implemented by the Government with civil society participation Baseline: 4; Target: 6 Ministry of Health; parliamentarians; special secretariats for: Human Rights; Promotion of Racial Equality; Youth; Women s Affairs Civil society networks; the private sector; universities research centres $5.0 million ($1.5 million resources $3.5 million from other resources)

7 7 Population development South-South cooperation Outcome: Population dynamics, including emerging issues the rights of young people, are incorporated in national local policies, plans programmes that seek to foster sustainable development reduce inequality Outcome indicator: Number of new policy documents addressing the reduction of inequality that integrate population dynamics, the rights of youth emerging population issues Baseline: 0; Target: 3 Outcome: The national international capacity to sustain the achievements commitments of the ICPD is reinforced Outcome indicator: Number of international initiatives that seek to reinforce the commitments of the ICPD Programme of Action Baseline: One South-South triangular technical cooperation programme between Brazil UNFPA; Target: two new South- South triangular cooperation programme agreements between Brazil UNFPA Output 1: National local institutions have increased capacity to produce, analyse incorporate disaggregated population data indicators in policies, plans programmes Output indicator: Number of national local government technical staff using disaggregated population data indicators for planning, policies programmes Baseline: 0; Target: 100 technical staff Output 2: Youth institutions have strengthened capacity to ensure the incorporation of the rights needs of youth in public policies Output indicators: Number of youth institutions that support the incorporation of the rights needs of youth in public policies Baseline: 1 at national level; Target: 4 at national local levels Number of youth institutions networks supported by UNFPA advocating the formulation approval of a national youth policy Baseline: no policy; Target: national youth policy is formulated approved Output 3: National local institutions have increased capacity to analyse use information data on emerging population issues in order to design, develop, implement monitor public policies Number of strategic documents designed that address emerging population issues Baseline: 0; Target: 4 (ageing, urbanization, migration climate change) Output 1: National institutions have increased capacity to implement initiatives that seek to promote issues related to the ICPD Programme of Action Output indicator: Number of national institutions participating in the network of institutions engaged in South-South triangular cooperation on issues related to the ICPD Programme of Action Baseline: 10 national institutions engaged in South-South triangular cooperation; Target: 15 national institutions participating in the above network engaged in South-South triangular cooperation Output 2: South-South /or triangular initiatives, programmes projects between national institutions partner countries have incorporated ICP D issues Output indicator: Number of South-South or triangular cooperation projects or initiatives designed, partially or fully implemented Baseline: 11 South-South or triangular cooperation projects or initiatives related to the ICPD Programme of Action, involving Brazil partner countries, have been designed implemented; Target: 6 new projects or initiatives related to the ICPD Programme of Action have been negotiated executed National, regional local governments; Ministries of: Environment; Planning, Budget Management; special secretariats for Women s Affairs; the Promotion of Racial Equality; parliamentarians Academia; civil society organizations networks; Latin American Population Association; research institutions Brazilian Agency for Cooperation; Ministry of External Relations; ministries with mates concerned with the ICPD Programme of Action Academic institutions nongovernmental organizations concerned with the ICPD Programme of Action Other UNFPA country offices engaged in South- South triangular initiatives $4.5 million ($1.5 million resources $3 million from other resources) $3.5 million ($0.5 million resources $3.0 million from other resources) Total for programme coordination assistance: $0.5 million resources